<?xml version="1.0"?>

<!--
SPDX-FileCopyrightText: 2008-2026 Luis Falcón <falcon@gnuhealth.org>
SPDX-FileCopyrightText: 2011-2026 GNU Solidario <health@gnusolidario.org>

SPDX-License-Identifier: GPL-3.0-or-later
-->

<form>
    <group id="imm_line_header" col="6" colspan="4">
        <label name="sched"/>
        <field name="sched"/>
        <label name="vaccine"/>
        <field name="vaccine"/>
        <label name="scope"/>
        <field name="scope"/>
    </group>
    <newline/>
    <label name="remarks"/>
    <field name="remarks"/>
    <newline/>
    <field colspan="4" name="doses"/>
</form>
